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PTMA Newsletter – Issue 1 2017

Urgent call to action - input on new Canadian opioid guidelines needed!

As part of our participation in the Pan-Canadian Collaborative for Safe Prescribing, the CMA is asking physicians to provide input into the new Canadian opioid guidelines, which are being developed by a team at the Michael G. DeGroote National Pain Centre at McMaster University, with funding from Health Canada.

The final version of the 2017 Guidelines for Use of Opioids in Chronic Non-Cancer Pain will be informed by the feedback received, so input from front-line physicians is vital.

Physicians can click here to review the draft guidelines and provide feedback before the deadline of Feb. 28.

The final version will be published in March 2017 and the CMA will be following up with a member survey to assess the feasibility of implementation of the guidelines.

For more information, visit https://www.cma.ca/En/Pages/opioid-crisis.aspx



CMA Workforce Survey in the field

With the launch of its inaugural Workforce Survey on Jan. 13, the CMA is asking physicians for information about their practice — data that will feed into the association’s future advocacy efforts around health care planning.

In short, the survey examines what it means to be a doctor in Canada, looking at everything from working hours, training and job satisfaction. It builds on research conducted in the past by the CMA, which will allow us to track changing attitudes, practice patterns and trends in the medical community, year over year.

The survey is open to all licensed practicing physicians in Canada (not limited to CMA members) and will be in the field until Feb. 27. The results will be used by the CMA to support advocacy efforts on key issues such as electronic health records, physician supply and demand, and physician remuneration methods.

Practicing physicians interested in completing the survey can visit cma.ca/workforce2017. If you receive any questions or would like more information, please contact Tara S. Chauhan at tara.chauhan@cma.ca.



Dr. Avery Presents on the Health Accord at the All-Party Seniors Caucus

On December 1, CMA President Dr. Avery presented to the All-Party Seniors Caucus on the CMA’s recommendations for a new Health Accord. Dr. Avery was invited by the Conservative Party’s seniors critic and Member of Parliament Mark Warawa to present in front of an assortment of MPs and Senators to discuss and answer questions surrounding the health accord and seniors care. They were receptive to the CMA’s recommendations and asked many questions.



CMA’s Advocacy work on Bill C-29

Our Vice-President for Member Relevance, John Feeley, appeared before the House of Commons Standing Committee on Finance for Bill C-29, the budget implementation bill. Within this bill are measures that the CMA has been concerned with regarding proposed changes to the small business tax deduction, which could negatively impact group medical structures, and by extension, medical research and training. Unfortunately, the bill was passed by the committee in its entirety and was sent to the Senate Committee on National Finance for its study of Bill C-29. On December 7th, CMA's President-Elect, Dr. Laurent Marcoux and Mr. Feeley appeared before the Senate committee to inform them of the measures within Bill C-29 that could negatively impact physicians in the hopes that Senators would put forward an amendment to change some provisions of the bill. Senator Nicole Eaton put forward an amendment that was debated at length on December 13th; however, the amendment was defeated by Senators 45-34 with four abstentions.



CMA’s Pre-Budget Outreach

In December and into the New Year, the CMA has been active on pre-budget consultations with the federal government and reaching out to MPs and Senators to inform them of our pre-budget recommendations. As you may know, the federal government will be presenting its budget for 2017-2018 later in the winter/early spring, and before the holidays the finance committee conducted its usual pre-budget consultations. As mentioned in the previous issue, Dr. Avery appeared before this committee to present the CMA’s recommendations, and on December 14th, CMA staff met with the chair of the finance committee, MP Wayne Easter to present him our recommendations as well. Further, CMA staff and Dr. Avery have met with nearly fifteen MPs and Senators on our pre-budget recommendations overall. A copy of the CMA’s pre-budget submission to the Finance committee can be found here: https://www.cma.ca/Assets/assets-library/document/en/advocacy/submissions/2016-aug-05-cma-2017-pre-budget-submission-e.pdf.



Influencing Political Parties to talk about Health

Both the Conservative Party and the New Democratic Party are electing new leaders of each party this year. The Conservative Leadership Convention will occur in May, and CMA staff are trying to influence the party to discuss health issues in greater detail. The NDP convention is occurring later in the year, and advocacy surrounding that leadership campaign will also begin when more candidates announce their bids for leadership. CMA staff are continually monitoring news cycles and debates in order to keep up-to-date on the latest news of the campaign.



Advocacy for Bill S-5

As you may know, the CMA has long been a proponent of the cessation of smoking, which is why the CMA supports Bill S-5, An Act to amend the Tobacco Act and the Non-smokers’ Health Act and to make consequential amendments to other Acts. This act discusses regulating the sale of electronic cigarettes and the sale of tobacco products. CMA staff are closely monitoring the progress of this bill and will be meeting with the sponsor of the bill, Senator Chantal Petitclerc, as well as the leader of the Government Representative in the Senate, Senator Peter Harder to discuss the bill in further detail.



Senate Roundtable on Dementia

On January 30th, CMA staff along with Dr. Frank Molnar, Vice-President of the Canadian Geriatrics Society attended a roundtable hosted by the Senate Standing Committee on Social Affairs Science and Technology to discuss their November 2016 report Dementia in Canada: A National Strategy for Dementia-Friendly Communities, which can be found here: https://sencanada.ca/content/sen/committee/421/SOCI/Reports/SOCI_6thReport_DementiaInCanada-WEB_e.pdf. Dr. Molnar was supported by CMA staff and he was a panelist as well, where the panel discussed access to information on what to expect after a Dementia diagnosis, how to deal with it, and availability of support services.



DemandaPlan Update

The DemandAPlan campaign continues to gain speed with over 49,000 engaged supporters. To date supporters have sent over 87,345 letters to parliamentarians advocating for CMA initiatives, including a new Health Accord. Further we launched Our Health Care. Our Stories a campaign that features real Canadians and their stories that support CMA’s recommendation for a new Health Accord. We encourage you to visit www.demandaplan.ca for more information on how to join the conversation.



5th International Preventing Overdiagnosis Conference

The conference gathers doctors and scientists from over 30 countries. This year's theme is: Towards Responsible Global Solutions. The conference will focus on overuse and overmedicalization, moving from evidence to action, communicating about overdiagnosis and engaging with citizens, patients and the public. The Québec Medical Association (QMA) will host this 5th edition of the International Preventing Overdiagnosis Conference, which is organized by Oxford University and many partners.

August 17-19, 2017
Québec City Convention Centre
Québec City
Canadian Medical Association is a proud sponsor.



Let’s talk about the possibilities – Joule Podcast Series

Know a physician innovator or someone aspiring to be? Listen and get to know your members better – you may be surprised how many are physician innovators! They can find some inspiration with Joule’s podcast series and hear from Dr. Denis Vincent on his experience with hackathons to what might be a new alternative to using the fax machine. Listen and subscribe now!



What are your resolutions in 2017? Physician Leadership Institute can help you reach your goals

No matter your personal or professional goals in 2017, the Physician Leadership Institute can help you get there. Choose from 25+ online and face-to-face courses and jump start your leadership skills!

Join us for upcoming face-to-face courses in Toronto March 5-10 and in Vancouver April 26-27 (pre-CCPL).



MD Financial Management Momentum Campaign

Since January, we have been moving ahead on the second half of our annual Momentum campaign, which we launched on October 24. For this second phase of the campaign, the main focus has been on encouraging our clients to make RRSP investments prior to the March 1 deadline, while we have continued some messaging around non-registered investments. We provided a webinar entitled Retirement Planning: 5 Steps to Success on January 25 and 26, and a call-out campaign between January 16 and February 3. Through the remainder of February, we will continue to send out regular emails reminding clients, and CMA members, to make their RRSP contributions. To see how the campaign has evolved, check out the website.



New Reports on Fees and Performance From MD

If you own investments, either at MD Financial Management (MD) or another financial institution, you might have recently received a pair of new annual reports. Required by regulators, these reports help you understand what investment fees you are paying and how your investments are performing.

Some financial institutions only show what they are required to show you: the portion of your fees that you pay to them, the dealer. This is only part of the management expense ratio (MER). But you pay other fees as well, for example to the fund companies themselves.

MD is going beyond the minimum regulatory disclosure requirements. It is providing clients with information about all the investment fees they pay, not just what MD is required to show them. In fact, MD provides the entire MER—both in dollars and as a percentage. This is not only the right thing to do, but the MD thing to do. Trust and value are the foundations of MD’s commitment to its clients. That is why MD Advisors have never worked on commission. And it is why MD’s fees are, and always have been, among the most competitive in Canada—30% lower than the industry average.1 Helping clients achieve their financial goals remains MD’s number 1 priority.

Ensure you have the complete picture. Learn more at md.cma.ca/mddifference.

1 MD compared the management expense ratio (MER) for MD mutual funds and Precision Portfolios™ with the average mutual fund MERs for comparable funds, using data from Investor Economics as of June 1, 2016.

MD Financial Management provides financial products and services, the MD Family of Funds and investment counselling services through the MD Group of Companies. For a detailed list of these companies, visit md.cma.ca.



Upcoming events in your province or territory

Date Event City Province Details
16-FebUBC – Transitioning to ResidencyVictoriaBCSeminar
21-FebuOttawa – RRSPs and TFSAs for ResidentsOttawaONSeminar
21-FebWinnipeg Pub NightWinnipegMBMD Client Appreciation
22-FebElder Care SeminarMarkhamONSeminar
22-FebResident RRSP/TFSA SeminarLondonONSeminar
23-FebWestern U – RRSPs and TFSAs for ResidentsLondonONSeminar
24-FebU of Alberta - Internal Med RetreatCanmoreABSeminar
24-FebUBC - Transitioning to ResidencyKelownaBCSeminar
25-FebUBC – Rural Locum Forum ConferenceNanaimoBCSeminar
01-MarQueen’s U - Women in Medicine PanelKingstonONSeminar
01-MarU of Toronto – Family Medicine Core DayTorontoONSeminar
01-MarUBC – CaRMs Match DayVancouverBCSeminar
01-MarUBC – CaRMs Match DayVictoriaBCSeminar
01-MarUBC – CaRMs Match DayKelownaBCSeminar
01-MarUBC – CaRMs Match DayPrince GeorgeBCSeminar
01-MarU of Alberta – CaRMs Match DayEdmontonABSeminar
01-MarU of Calgary – CaRMs Match DayCalgaryABSeminar
01-MarUBC – Specialty Practice Management Curriculum VancouverBCSeminar
07-MarForward Thinking SeminarWindsorONSeminar
08-MarUOttawa – Tax Tips for Residents – Session IOttawaONSeminar
08-MarUOttawa – Tax Tips for Residents – Session IIOttawaONSeminar
08-MarUBC – Rural Academic Half DayVictoriaBCSeminar
08-MarU of Alberta – Psychiatry Academic Half DayEdmontonABSeminar
08-MarOpen House – Toronto OfficeTorontoONOpen House
13-MarUOttawa – MedYear4: Transition to ResidencyOttawaONSeminar
15-MarWestern U – Tax Tips for ResidentsLondonONSeminar
15-MarMcMaster U – Resident Financial SeminarHamiltonONSeminar
15-MarTax Tips for ResidentLondonONSeminar

To find out more contact Rebecca Ryan.